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psnet.ahrq.gov/node/35231/psn-pdf
June 09, 2011 - Human factors considerations relevant to CPOE
implementations.
June 9, 2011
Saathoff A. Human factors considerations relevant to CPOE implementations. J Healthc Inf Manag.
2005;19(3):71-8.
https://psnet.ahrq.gov/issue/human-factors-considerations-relevant-cpoe-implementations
The author reviews the literature on …
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psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
January 01, 2020 - Spotlight
The Lost Start Date, an Unknown
Risk of E-prescribing
Source and Credits
• This presentation is based on the October 2019
AHRQ WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Adam Wright, PhD, and Gordon
Schiff, MD
○ Editor, AHRQ…
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psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide
April 23, 2014 - Toolkit
Improving Patient Safety Culture – A Practical Guide.
Citation Text:
Improving Patient Safety Culture – A Practical Guide. London, UK: NHS England; July 2023.
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psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
December 24, 2008 - Audiovisual Presentation
AHRQ Patient Safety YouTube Channel.
Citation Text:
AHRQ Patient Safety YouTube Channel. Rockville, MD: Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england-overview-report
August 02, 2023 - Book/Report
Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report.
Citation Text:
Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report. Keogh B. London, UK: National Health Service;…
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psnet.ahrq.gov/issue/ahrq-2010-annual-conference
December 24, 2008 - Government Resource
AHRQ 2010 Annual Conference.
Citation Text:
AHRQ 2010 Annual Conference. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/crico
June 24, 2019 - Multi-use Website
CRICO.
Citation Text:
CRICO. 1325 Boylston Street, Boston, MA 02215
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December 1…
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psnet.ahrq.gov/issue/hospital-harm-project
December 04, 2019 - Toolkit
Hospital Harm Project.
Citation Text:
Hospital Harm Project. Canadian Institute for Health Information, Health Excellence Canada.
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psnet.ahrq.gov/issue/reprocessing-reusable-medical-devices
April 08, 2020 - Multi-use Website
Reprocessing of Reusable Medical Devices.
Citation Text:
Reprocessing of Reusable Medical Devices. US Food and Drug Administration.
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psnet.ahrq.gov/issue/minnesota-alliance-patient-safety-maps
October 31, 2023 - Multi-use Website
Minnesota Alliance for Patient Safety (MAPS).
Citation Text:
Minnesota Alliance for Patient Safety (MAPS). Minnesota Hospital and Healthcare Partnership.
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psnet.ahrq.gov/issue/peggy-lillis-foundation
February 05, 2020 - Multi-use Website
Peggy Lillis Foundation.
Citation Text:
Peggy Lillis Foundation. 266 12th Street #6, Brooklyn, NY 11215.
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system
October 03, 2017 - Government Resource
Indiana Medical Error Reporting System.
Citation Text:
Indiana Medical Error Reporting System. Indiana State Department of Health.
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psnet.ahrq.gov/issue/shelhigh-inc-implantable-medical-devices
April 08, 2020 - Government Resource
Shelhigh, Inc. implantable medical devices.
Citation Text:
Shelhigh, Inc. implantable medical devices. Food and Drug Administration; FDA
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psnet.ahrq.gov/issue/not-quite-fail-safe-computerizing-isnt-panacea-dangerous-drug-errors-study-shows
July 16, 2009 - Newspaper/Magazine Article
Not quite fail-safe: computerizing isn't a panacea for dangerous drug errors, study shows.
Citation Text:
Not quite fail-safe: computerizing isn't a panacea for dangerous drug errors, study shows. Boodman SC. Washington Post. March 22, 2005; Page HE01.
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psnet.ahrq.gov/issue/behaviors-undermine-culture-safety
April 24, 2024 - Sentinel Event Alerts
Behaviors that undermine a culture of safety.
Citation Text:
Behaviors that undermine a culture of safety. Sentinel event alert. 2008;(40):1-3.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed
November 26, 2008 - Book/Report
Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed.
Citation Text:
Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. Weiss BD. Chicago, IL: American Medical Association Foundation; 2007.
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psnet.ahrq.gov/issue/patient-safety-and-quality-healthcare
June 14, 2011 - Newsletter/Journal
Patient Safety and Quality Healthcare.
Citation Text:
Patient Safety and Quality Healthcare. Middleton, MA: HealthLeaders Media. ISSN: 1553-6637.
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psnet.ahrq.gov/issue/keeping-each-patient-safe
September 21, 2005 - Course Material/Curriculum
Keeping Each Patient Safe.
Citation Text:
Keeping Each Patient Safe. University of Pittsburgh Schools of the Health Sciences
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psnet.ahrq.gov/node/38984/psn-pdf
September 30, 2009 - Hospitalist handoffs: a systematic review and task force
recommendations.
September 30, 2009
Arora VM, Manjarrez E, Dressler DD, et al. Hospitalist handoffs: A systematic review and task force
recommendations. J Hosp Med. 2009;4(7). doi:10.1002/jhm.573.
https://psnet.ahrq.gov/issue/hospitalist-handoffs-systematic-…
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psnet.ahrq.gov/node/37380/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR. Hosp Pharm. 2007;42(11):982-985.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-19
This monthly commentary examines risks associated with mismanagement of IV tubing and ports,
discusses a recent article regarding unintended conseque…